Individual
MR. PATRICK MACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
520 N 32ND AVE, WAUSAU, WI 54401-4701
(715) 847-2600
Mailing address
520 N 32ND AVE, WAUSAU, WI 54401-4701
(715) 847-2600
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3825-26
WI
Other
Enumeration date
06/27/2011
Last updated
06/27/2011
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